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<br />813-'780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner"s Name <br /> <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />}',j' * frnner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />DESCRIPTION OF WORK <br /> <br />E1 <br />D <br />D <br />I <br /> <br />I &:y--A/ .s rA?e-g-' r LOT # 7 <br /> <br />I PARCELlD#Il? ,~-.;(&; - .2/ - 0/10 -O~tPC)CJ ._t}o ?~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR D ADD/ALT D SIGN D MOVE D <br />INSTALL D REPAIR <br />SFR 0 COMM D OTHER <br />BLOCK D FRAME D STEEL D OTHER I A?~/fJt7tP,.c I <br /> <br />R ~ /? tPt'P UJ / /k 30 ;/.d'/:!~ /J/ /nP-AJ-s/C)/(/4- L--, .<:;).I/"J,/,'L&~51 <br /> <br />sa FOOTAGE I / "} tt??J /_7:2.- I HEIGHT & Al ~ /~ <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />I {PI,;?/} <br />!j?;?7/? k I,//LL- <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />o BUILDING 1$ I <br /> <br />o ELECTRICAL 1$ I <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ ~ 9 .:~~. & c/ I VALUATION OF MECHANICAL INSTALLATION <br /> <br />o GAS ~ ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111I111111II11111111111111111111111111111111111111111111;11111111111111111111111111111111111111111111111111111111I1111111111111111111111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />DI~~~ti~~~':' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500. a Notice of Commencement is required. (A1C upgrades over $5000) <br /> <br />.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />Driveways-Not over Counter if on public roadwaysuneeds ROW <br />